Prevalence and interrelations of cardiovascular risk factors in urban and rural Mexican adolescents

Yamamoto-Kimura, Liria; Posadas‐Romero, Carlos; Posadas-Sánchez, Rosalinda; Zamora-González, José; Cardoso-Saldaña, Guillermo; Ramírez, Ignacio Méndez

doi:10.1016/j.jadohealth.2005.04.004

Cited by 55 publications

(59 citation statements)

References 31 publications

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“…The diagnosis is a complex one, and the pediatrician must detect eating disorders as soon as possible, so that multidisciplinary actions can reverse the situation. 18 The present study showed a higher prevalence of obesity in boys (24.7%), similar to that found in another study carried out in Brazil, 19 but different from a study carried out in Mexico, 20 which found a predominance of obesity in girls. A study carried out in Fortaleza, Brazil, 21 agrees with the results found in this study, by stating that systolic BP rises concomitantly with increasing age.…”

Section: Discussionsupporting

confidence: 84%

Prevalence of Hypertension in Children from Public Schools

Souza¹,

Dourado²,

Mill³

et al. 2017

International Journal of Cardiovascular Sciences

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Background: There is a discrepancy between protocols used for the diagnosis of childhood hypertension, and the most recommended one is the measurement of blood pressure in at least three different moments.Objective: To identify the prevalence of hypertension in children, and to associate it with the nutritional status variable.Methods: This is a longitudinal study, which included all children aged 7 to 10 years enrolled in public schools and had the authorization of their parents/guardians, totaling 722 children. In the first evaluation, the child's family answered a questionnaire, and the child was submitted to anthropometric and hemodynamic evaluation. Blood pressure was measured three times at three different times. Children who had high blood pressure at the first moment were reassessed at a second time; those who persisted with high blood pressure were re-evaluated at a third moment. Results:The prevalence of high blood pressure at the first moment was 8.1%, being 3.2% in the second and 2.1% in the third. The nutritional status was significantly associated with the increase in systolic and diastolic blood pressures, being higher in overweight and obese children. The highest prevalence of high blood pressure was found in children classified as obese, at all moments. Conclusion:By performing blood pressure measurements of children at different moments, it was possible to reduce false-positive cases for arterial hypertension. The nutritional status was directly associated with the increase in blood pressure values. Performing the measurements in routine consultations becomes essential for diagnosis and early intervention. (Int J Cardiovasc Sci. 2017;30(1):42-51)

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Section: Discussionsupporting

confidence: 84%

Prevalence of Hypertension in Children from Public Schools

Souza¹,

Dourado²,

Mill³

et al. 2017

International Journal of Cardiovascular Sciences

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“…Due to its population size, demography and socioeconomic conditions, Mexico City (District of Coyoacan) was considered a separate region. 9 In each State, the selected municipalities had populations that comprised 40% indigenous people. The six indigenous populations included Mayo-Tarahumaras (Northern); Nahuas-Otomies (Central) and Mayas-Tzotziles (Southern).…”

Section: Subjects and Methods Subjectsmentioning

confidence: 99%

Body composition prediction equations based on deuterium oxide dilution method in Mexican children: a national study

et al. 2012

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BACKGROUND/OBJECTIVES: Obesity and undernutrition co-exist in many regions of Mexico. However, accurate assessments are difficult because epidemiological data on body composition are not available. The aim of this study was to facilitate assessments of body composition in Mexican school children of different geographical regions and ethnicity by developing equations for bioelectrical impedance and anthropometry based on deuterium oxide dilution. SUBJECTS/METHODS: We evaluated 336 subjects (143 belonged to six major indigenous groups) from Northern, Central and Southern Mexico. We measured height (Ht), weight (Wt), tricipital skinfold (Tricp-SKF) and resistance (R) based on a bioimpedance analysis (BIA). Fat-free mass (FFM) and fat mass (FM) were estimated from measurements of total body water with the deuterium dilution technique. CONCLUSIONS:We validated two equations for evaluating body composition in Mexican indigenous and non-indigenous children and youth from three main regions of the country. These equations provided reliable estimates and will promote a better understanding of both obesity and undernutrition.

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“…But the residual associations also showed that these differences might be linked to other factors, and this was further emphasised by the large difference in abdominal obesity between regions or areas that had no link with any of the socio-economic or lifestyle factors measured here. Such differences between regions (28,33) and higher prevalence in urban v. rural areas (8,(34)(35)(36) are frequently reported as a consequence of a different level of exposure to genetic influences (37) and particularly to environmental factors (38) , and also to traditions, psychological and cultural factors that influence eating behaviours (38)(39)(40) . The higher prevalence of overweight and obesity in females v. males observed here in rural areas has been reported for other African countries (30) , and may also be partly linked to cultural factors.…”

Section: Nutritional Statusmentioning

confidence: 99%

Nutritional status of Tunisian adolescents: associated gender, environmental and socio-economic factors

Aounallah-Skhiri

Romdhane

Traissac

et al. 2008

Public Health Nutr.

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Objective: To assess the nutritional status of Tunisian adolescents and associated factors. Design: A cross-sectional study based on a national stratified random cluster sample. Subjects and methods: In all, 1295 boys and 1577 girls aged 15-19 years, of whom 28?4 % had already left school. Socio-economic characteristics of the parents, anthropometric measurements, food behaviours and physical activity of the adolescents were recorded during home visits. Results: Prevalence of underweight, overweight and obesity (WHO/National Center for Health Statistics reference) were, respectively, 8?1 %, 17?4 % and 4?1 % among boys and 1?3 %, 20?7 % and 4?4 % among girls; abdominal obesity was highly prevalent among both sexes. Prevalence of overweight differed by region (from 11?5 % to 22?2 %) and was higher in urban v. rural areas for males (21?7 % v. 10?4 %) but not for females (21?7 % v. 19?2 %). These differences were partially mediated by socio-economic and lifestyle factors for males. For females, influence of cultural factors is hypothesised. In rural areas, overweight was more prevalent among boys of higher economic level households, having a working mother or a sedentary lifestyle; for girls, prevalence increased with the level of education of the mother. In urban areas, prevalence of overweight was related to eating habits: it was higher for boys with irregular snacking habits and for girls skipping daily meals. Urban girls having left school were also more overweight. Conclusion: Overweight and abdominal obesity in late adolescence have become a true public health problem in Tunisia with the combined effects of cultural tradition for girls in rural areas, and of rapid economic development for boys and girls in cities.

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Prevalence and interrelations of cardiovascular risk factors in urban and rural Mexican adolescents

Cited by 55 publications

References 31 publications

Prevalence of Hypertension in Children from Public Schools

Prevalence of Hypertension in Children from Public Schools

Body composition prediction equations based on deuterium oxide dilution method in Mexican children: a national study

Nutritional status of Tunisian adolescents: associated gender, environmental and socio-economic factors

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